Evaluating the quality of life in children and adolescents with type 1 diabetes mellitus on pump insulin therapy, considering the carbohydrate value in Uzbek national foods

Abstract

Background. Type 1 diabetes mellitus (DM) in children and adolescents is a complex problem throughout the world. The onset of the disease at an early age and development of acute and chronic complications already at young age encourage searching the most optimal methods for treating this serious disease. The purpose of the study was to assess the qua­lity of life in children and adolescents with type 1 DM on pump insulin therapy, considering the carbohydrate value in Uzbek national foods. Materials and methods. In the study, it was used a Russian version of a short form of the Diabetes Quality of Life for Youth (DQOLY-SF) questionnaire. Results. The results of the conducted study demonstrate reliably that the use of mo­dern technologies is accompanied by the improvement of not only glycemic control, but also the quality of life. The obtained data allow us to conclude that the use of structured training programs is effective for improving the degree of compensation of carbohydrate metabolism and increasing quality of life in patients using pump insulin therapy. Conclusions. The use of pump insulin therapy has a positive impact on all aspects of the quality of life registered by the DQOLY-SF questionnaire. With the use of the square bolus and double wave bolus, conside­ring the tables of bread units in dishes of Uzbek national cuisine, there was a tendency to improve the quality of life compared to those who used only a simple bolus.